CENTRAL ADIRONDACK SEARCH AND RESCUE TEAM
MEMBERSHIP APPLICATION

Name: ______________________________________________ DOB: ____________________

Address: ______________________________________________________________________

______________________________________________________________________________

Are you a seasonal resident of the Adirondacks?: Yes or No. If Yes, please add Seasonal contact
info on the back of this form with your preference of how we should contact you.

Email Addresses: _______________________________________________________________

Text Message Address: __________________________________________________________

Home Phone: ________________________ Work Phone: ______________________________

Seasonal Phone: ______________________ Cell Phone: ________________________________

Your preference of how we should contact you. List all methods in order of your preference:

______________________________________________________________________________

Special skills, licenses & certifications: _________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Medical conditions & allergies: ______________________________________________________

______________________________________________________________________________


Notes: ________________________________________________________________________

______________________________________________________________________________


Membership Classification Choice: Field Administrative Associate Professional
If Field member are you “Winter Ready?” (Winter Gear, Snowshoes, Experience) Yes or No
(Explanation of Membership Classifications)

Will respond to searches outside CASART area
(Yes or No, and how long are you willing to travel in hours)
______________________________________________________________________________

For Internal Use: Initiation Fee: $15.00 Paid Dues: $10.00 Paid
Hat, CASART & NYSFEDSAR Patches & Membership Card Issued

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